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Regional protocols and procedures: how do you keep them alive?

Working together in healthcare doesn’t stop at your own front door. Patients move between care providers more than ever, and digital care only accelerates that movement. Clear, shared protocols and procedures – especially at the moments when a patient moves from one organisation to the next – are essential. Regional care protocols between GPs, hospitals, VVT organisations and other providers create structure, continuity and safer care. National accords, such as the Integraal Zorgakkoord (IZA) in the Netherlands, actively promote this approach. But how do you make sure those agreements stay alive – both inside your organisation and beyond?

Why you can’t do without regional care protocols

The moment a patient transfers from one organisation to another, care becomes more vulnerable. What if crucial information isn’t passed on, or roles are unclear? That’s when risks arise. The Dutch Health and Youth Care Inspectorate (IGJ) is clear: solid agreements between primary, secondary and tertiary care are essential—covering medical information, medication details and nursing hand-overs. When everyone knows what’s expected of them and shares the same minimum information, transfers are safe and complete. Regional care protocols form that common foundation. They create clarity, strengthen collaboration and prevent clients and patients from falling through the cracks.

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The reality: why shared protocols and procedures still slip out of sight

In theory it sounds simple: make agreements together, record them and ensure everyone knows what to do. In practice, things often go wrong. Why?

  • Scattered information: Each organisation has its own systems and work instructions, so regional agreements quickly slip out of view – they’re hard to find, not linked to local protocols, or simply unknown.
  • No active safeguarding: An agreement only has value if someone drives it. Without ownership, recurring evaluations and clear roles, agreements fade away. Better to spread responsibilities across several organisations (e.g. appoint a coordinator in each partner-organisation) so no single party carries the whole load.
  • New staff don't know them: Onboarding programmes rarely include regional agreements. New professionals default to their old methods or doubt the benefit of new ones. Actively involve teams in drafting and explaining agreements to build buy-in.
  • Agreements age: Healthcare is always evolving, yet structured maintenance often lags. Some regions already manage this well—acute-care networks update annually, for example. Ideally, reviews become a fixed part of your quality cycle.

Five tips to keep regional protocols and procedures alive

In the hustle of day-to-day work, regional carep protocols can easily slip off the radar. These five smart tips will help you keep them visible, up-to-date and truly workable in daily practice.

1. Embed the protocols and procedures in daily work

Tie agreements to existing protocols, work instructions and quality systems so they feel like a natural part of the job. Regularly check whether regional agreements have truly been translated into local practice.

2. Keep them visible and up to date

If something’s hard to find, it won’t be used. A central place – such as a shared Zenya environment – makes agreements easy to locate. Automatic notifications, role-based access and scheduled reviews keep content current and reliable.

3. Repeat, train and discuss

One-off explanations aren’t enough. Include regional agreements in onboarding, highlight them in team meetings and keep stressing why they matter. Use comms tools, intranet or newsletters, and link theory to practice with case studies showing the difference agreements make – or when they’re missing.

4. Collaborate in quality networks

Shared knowledge goes further. In a regional quality network, organisations exchange experience, review transmural incidents and check agreements for relevance. Collecting that data digitally keeps it manageable and drives focused improvement.

5. Use data for targeted improvement

Measure results with data, audits and real-world signals. Are transfers on time? Is the information complete? If you find issues – say, chronically late discharge letters—you know exactly where to act. Feed successes back, too; it motivates teams and proves the value.

 

A strong foundation for collaboration in healthcare

Robust regional protocols and procedures create clarity, safe transfers and better collaboration across organisational boundaries – but only when they’re actually used in daily work: visible, current and easy to access. That demands a strong foundation: one central place where agreements come together, oversight is maintained and everyone can connect effortlessly. Zenya provides exactly that. With an integrated software suite, smart tools and hands-on implementation support, we make sure digital solutions genuinely boost collaboration in practice – helping all of us deliver better care.

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